Provider Demographics
NPI:1205068970
Name:CUNNINGHAM, MARGARET F (ANP-C)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:F
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9703 FARGO RD
Mailing Address - Street 2:
Mailing Address - City:EAST BETHANY
Mailing Address - State:NY
Mailing Address - Zip Code:14054-9601
Mailing Address - Country:US
Mailing Address - Phone:585-344-2357
Mailing Address - Fax:
Practice Address - Street 1:9703 FARGO RD
Practice Address - Street 2:
Practice Address - City:EAST BETHANY
Practice Address - State:NY
Practice Address - Zip Code:14054-9601
Practice Address - Country:US
Practice Address - Phone:585-344-2357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-14
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF303477-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health